Ictasure 200mg Tablet SR: Complete Guide to Uses, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Rash with fever, blisters, or peeling skin
- Sores in the mouth, eyes, or genitals
- Severe headache with stiff neck and sensitivity to light
- Unusual bruising or bleeding
- Yellowing of skin or eyes
- Suicidal thoughts or behavior
- Seizures that worsen or change in pattern
- Severe abdominal pain with nausea and vomiting
If experiencing severe symptoms, call emergency services immediately.
What is ji lmt od 200mg tablet sr used for?
This medicine contains Lamotrigine 200mg, an antiepileptic drug used to treat epilepsy and bipolar disorder. It works by stabilizing electrical activity in the brain. It is not for acute seizures and must be taken regularly as prescribed.
- Generic Name: Lamotrigine (200mg)
- Manufacturer: Ishjas Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ji lmt od 200mg tablet sr के बारे में (Hindi Summary)
उपयोग: यह दवा लैमोट्रिजिन 200mg युक्त है और मिर्गी (एपिलेप्सी) तथा बाइपोलर डिसऑर्डर के इलाज में उपयोग की जाती है। यह दौरे की आवृत्ति और तीव्रता को कम करने में मदद करती है और मूड स्विंग्स को नियंत्रित करती है। यह दवा तुरंत दौरे रोकने के लिए नहीं है, बल्कि दीर्घकालिक प्रबंधन के लिए है। इसे डॉक्टर के निर्देशानुसार नियमित रूप से लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, नींद आना, जी मिचलाना, उल्टी, दस्त और त्वचा पर दाने शामिल हैं। गंभीर दुष्प्रभावों में स्टीवंस-जॉनसन सिंड्रोम जैसी त्वचा प्रतिक्रियाएं, रक्त विकार, यकृत विफलता और एसेप्टिक मेनिनजाइटिस शामिल हैं। यदि आपको दाने, बुखार, या मुंह में छाले हों तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी दवाओं और एलर्जी के बारे में बताएं। इस दवा को अचानक बंद न करें, क्योंकि इससे दौरे बढ़ सकते हैं। गाड़ी चलाते समय या मशीनरी चलाते समय सावधानी बरतें क्योंकि इससे चक्कर आ सकते हैं। शराब से बचें। यदि आप गर्भवती हैं या गर्भधारण की योजना बना रही हैं तो डॉक्टर से सलाह लें। नियमित रूप से रक्त परीक्षण करवाएं।
💊 ji lmt od 200mg tablet sr Uses & Benefits
- [{"condition":"Epilepsy (partial seizures)","description":"This medicine is used as adjunctive therapy for partial-onset seizures in adults and children.
- It helps reduce the frequency of seizures.","evidence":"Well-established"},{"condition":"Epilepsy (generalized seizures)","description":"It is also used for generalized seizures, including tonic-clonic and absence seizures, often as add-on therapy.","evidence":"Well-established"},{"condition":"Bipolar disorder","description":"This medicine helps delay the recurrence of mood episodes, particularly depressive episodes, in adults with bipolar I disorder.","evidence":"Well-established"},{"condition":"Lennox-Gastaut syndrome","description":"It may be used as adjunctive treatment for seizures associated with Lennox-Gastaut syndrome.","evidence":"Established"}]
Off-label uses: [{"condition":"Neuropathic pain","description":"Sometimes prescribed off-label for neuropathic pain, though evidence is limited.","evidence":"Limited"},{"condition":"Migraine prophylaxis","description":"Occasionally used off-label to prevent migraines, but not first-line.","evidence":"Limited"},{"condition":"Post-traumatic stress disorder (PTSD)","description":"Rarely used off-label for PTSD, with mixed evidence.","evidence":"Insufficient"}]
Primary treatment for: Epilepsy
Also treats: Bipolar disorder, Lennox-Gastaut syndrome
📋 Drug Information
| Generic Name(s) | Lamotrigine (200mg) |
| Brand Name | ji lmt od 200mg tablet sr |
| Manufacturer | Ishjas Pharma Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Sodium channel modulators (AED) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Lamotrigine is included in the WHO Model List of Essential Medicines for the treatment of epilepsy. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by blocking voltage-sensitive sodium channels in the brain, which stabilizes neuronal membranes and inhibits the release of excitatory neurotransmitters, particularly glutamate. This action reduces abnormal electrical activity in the brain that leads to seizures and mood instability. Additionally, it may affect calcium channels and other neurotransmitter systems, contributing to its therapeutic effects.
Mechanism Steps
💡 How to Take ji lmt od 200mg tablet sr
Strength: 200 mg immediate-release tablet
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and concomitant medications. For epilepsy, the usual maintenance dose is 100-200 mg per day, but the starting dose is typically 25 mg daily for 2 weeks, then gradually increased. For bipolar disorder, the typical maintenance dose is 200 mg daily. When used with valproic acid, the dose is reduced by half. When used with enzyme-inducing drugs, the dose may need to be increased. Always follow your doctor's prescription exactly. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and drowsiness. Dose selection should be cautious, and renal function should be considered. Consult a doctor for individualized dosing. |
| Renal Impairment | In patients with kidney impairment, the dose of this medicine may need to be reduced. Consult a doctor for appropriate dose adjustment based on creatinine clearance. |
| Hepatic Impairment | In patients with liver impairment, the dose of this medicine should be reduced and titrated slowly. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 400 mg for epilepsy and 200 mg for bipolar disorder, but this may vary based on clinical response and tolerability. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ji lmt od 200mg tablet sr
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Valproic acid | Major | |
| Carbamazepine | Major | |
| Phenytoin | Major | |
| Rifampicin | Major | |
| Oral contraceptives | Moderate | |
| Aripiprazole | Moderate | |
| Atazanavir/ritonavir | Moderate | |
| Paracetamol | Minor | |
| Antacids | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Valproic acid
- Carbamazepine
- Phenytoin
- Rifampicin
⚡ Moderate Interactions
- Oral contraceptives
- Aripiprazole
- Atazanavir/ritonavir
🍷 Alcohol Interaction
Alcohol may increase the sedative effects of this medicine, such as dizziness and drowsiness. It is advisable to avoid or limit alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to lamotrigine or any component of this medicine","History of serious skin reaction to lamotrigine (e.g., Stevens-Johnson syndrome)","Use with caution in patients with severe liver or kidney impairment"]
⚠️ Warnings & Precautions
["Serious skin reactions: This medicine can cause severe and potentially life-threatening rashes. Stop the medicine and seek immediate medical attention if you develop a rash, fever, or swollen lymph nodes.","Suicidal thoughts: Antiepileptic drugs, including this medicine, may increase the risk of suicidal thoughts or behavior. Monitor for mood changes and contact your doctor if you experience any.","Aseptic meningitis: This medicine can cause aseptic meningitis. Seek medical attention if you develop headache, fever, stiff neck, nausea, or sensitivity to light.","Blood dyscrasias: Rarely, this medicine can cause blood disorders. Report unusual bruising, bleeding, or infections.","Withdrawal seizures: Do not stop this medicine abruptly, as it can cause seizures to worsen. Taper gradually under medical supervision.","Driving and operating machinery: This medicine may cause dizziness or drowsiness. Avoid these activities until you know how it affects you.","Alcohol: Avoid alcohol as it may increase sedative effects.","Pregnancy: This medicine may harm an unborn baby. Use effective contraception and consult your doctor if you are pregnant or planning to become pregnant.","Breastfeeding: This medicine passes into breast milk. Consult your doctor before breastfeeding."]
🤱 Lactation Safety
This medicine passes into breast milk. Breastfeeding while taking this medicine may cause side effects in the infant, such as rash, drowsiness, or poor feeding. Consult your doctor to weigh the benefits and risks before breastfeeding.
💊 Overdose Management
Overdose of this medicine can cause symptoms such as dizziness, headache, drowsiness, nausea, vomiting, and in severe cases, seizures, coma, and death. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote. Hemodialysis may be considered in severe cases.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you miss multiple doses, consult your doctor before restarting, as the dose may need to be re-titrated to avoid rash.
Additional Safety Advice
Before starting this medicine, inform your doctor if you are allergic to lamotrigine or any other medications. Provide a complete list of all prescription, over-the-counter, and herbal products you are taking, as this medicine can interact with many drugs. Do not start or stop any medicine without your doctor's approval. This medicine can cause dizziness and drowsiness; avoid driving or operating heavy machinery until you know how it affects you. Alcohol may increase these effects and should be avoided. If you develop a rash, fever, swollen lymph nodes, or sores in your mouth, stop taking this medicine and seek medical attention immediately. Do not stop taking this medicine abruptly, as this can cause seizures to worsen. Your doctor will gradually reduce the dose if discontinuation is needed. Use effective contraception if you are of childbearing age, as this medicine may harm an unborn baby. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Regular blood tests may be needed to monitor your liver, kidney, and blood cell counts. Keep all appointments with your doctor and laboratory. Store this medicine at room temperature away from moisture and heat. Keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, particularly dizziness, drowsiness, and balance problems. Dose selection should be cautious, and renal function should be monitored. Falls are a concern, so caution is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before conception. This medicine may increase the risk of birth defects, especially cleft palate. Your doctor may adjust the dose or switch to another medication. Use effective contraception while taking this medicine unless you are planning a pregnancy under medical supervision. Folic acid supplementation is recommended.
🏥 Post-Surgery Considerations
After surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect seizure control. Your dose may need to be adjusted during the perioperative period. Do not stop the medicine without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may interact with certain anesthetics or medications used during dental work. Your dentist may need to consult your doctor to adjust your medication or take precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe while taking this medicine, but caution is advised if you experience dizziness or drowsiness. Avoid activities that require high levels of alertness, such as swimming alone or cycling on busy roads, until you know how the medicine affects you. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness, which can affect your ability to drive or operate machinery. It is important to assess your alertness before performing such tasks. Most people can continue their normal work and daily activities once they adjust to the medicine. Inform your employer about your condition if necessary, especially if your job involves safety-sensitive tasks.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Abrupt discontinuation can lead to withdrawal seizures or worsening of mood symptoms. Your doctor will gradually reduce the dose over time if discontinuation is necessary. If you experience serious side effects such as a severe rash, seek immediate medical attention and follow your doctor's advice regarding stopping the medicine.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored appropriately. Regular monitoring of liver and kidney function, as well as blood counts, is recommended. Some patients may experience tolerance or reduced efficacy over time. Long-term use may also be associated with an increased risk of bone density loss, so adequate calcium and vitamin D intake is advised. Periodic review with your doctor is essential to adjust the dose and manage any side effects.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A high-fat, low-carbohydrate diet that may help control seizures in some patients, especially children.
Evidence: Well-established for certain types of epilepsyA device implanted under the skin that sends electrical signals to the vagus nerve to reduce seizures.
Evidence: Established for refractory epilepsyCan help manage mood symptoms in bipolar disorder alongside medication.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you are taking immunosuppressive drugs, live vaccines may be contraindicated. Consult your doctor before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If crossing time zones, consult your doctor about adjusting the dosing schedule. Check local customs regulations for controlled substances, though lamotrigine is generally not a controlled drug. Always carry enough supply for the entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: It may take several weeks to reach the full therapeutic effect. The dose is gradually increased to minimize side effects.
A: No, do not stop abruptly. Stopping suddenly can cause seizures to worsen. Consult your doctor before making any changes.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: It may increase the risk of birth defects. Consult your doctor if you are pregnant or planning to become pregnant. Use effective contraception while taking this medicine.
A: Alcohol may increase drowsiness and dizziness. It is best to avoid or limit alcohol consumption.
🤔 Common Patient Concerns
🔄 Substitutes for ji lmt od 200mg tablet sr
View AllAlternative brands with exact same active ingredient:
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lamictin 200mg tablet dtRPG Life Sciences Ltd ₹182.81 43.8% CHEAPER
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lametec 200mg tablet dtCipla Ltd ₹201.68 37.9% CHEAPER
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lamikon od 200mg tabletIkon Pharmachem Pvt Ltd ₹251.25 22.7% CHEAPER
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ictasure 200mg tablet srAbbott ₹270.94 16.6% CHEAPER
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lamosyn od 200 mg tabletSun Pharmaceutical Industries Ltd ₹281.00 13.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Lamotrigine is a painkiller.
Fact: Lamotrigine is an antiepileptic drug, not a painkiller. It is used for epilepsy and bipolar disorder. - Myth: You can stop lamotrigine once seizures are controlled.
Fact: Lamotrigine should not be stopped abruptly, as it can cause seizures to worsen. Always consult your doctor before stopping. - Myth: Lamotrigine is safe to take during pregnancy without any risk.
Fact: Lamotrigine may increase the risk of birth defects, especially cleft palate. Consult your doctor if you are pregnant or planning to become pregnant. - Myth: Lamotrigine causes weight gain.
Fact: Lamotrigine is generally weight-neutral and does not typically cause weight gain.
🔄 Alternative Options
Generic Alternatives
- Lamotrigine 200mg tablet
Brand Alternatives
- Lamitor
- Lametec
- Lamez